Active NPI
Amy L. Vincent, MSPT
- Physical Therapist
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 24 Salt Pond Rd Ste D4
Wakefield, RI 02879-4334 - Phone
- (401) 667-4965
- Fax
- (401) 667-7243
- NPI assigned
- Aug 8, 2006
- Last updated
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | PT02055 | RI | |
| Orthopedic Physical Therapist | 2251X0800X | PT02055 | RI | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
24 Salt Pond Rd Ste D4
Wakefield, RI 02879-4334
Mailing address
24 Salt Pond Rd Ste D4
Wakefield, RI 02879-4334
Phone (401) 667-4965
Other practice location 1
8192 Post Rd
North Kingstown, RI 02852-4418
Phone (401) 667-4965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Salt Pond Rd
Suite D4
Wakefield, RI 02879-4334
Phone (401) 667-4965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT02055 | RI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Physical Therapy | Sports Medicine | Current | Accepting new patients |
| Body Mechanix Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
8192 Post Rd
North Kingstown, RI 02852
Phone (401) 667-4965
24 Salt Pond Rd
Ste D4
Wakefield, RI 02879
Phone (401) 667-4965
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rhode Island Rehabilitation South
- Physical Therapy Clinic/Center
- Wakefield, RI
- NPI 1114014792
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1386654705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SALT POND RD STE D4",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794334",
"telephone_number": "401-667-4965",
"fax_number": "401-667-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND RD STE D4",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794334",
"telephone_number": "401-667-4965",
"fax_number": "401-667-7243"
}
],
"practiceLocations": [
{
"address_1": "8192 Post Rd",
"address_purpose": "LOCATION",
"city": "North Kingstown",
"state": "RI",
"postal_code": "028524418",
"country_code": "US",
"telephone_number": "401-667-4965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "AMY",
"middle_name": "L.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "RI",
"license": "PT02055",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "RI",
"license": "PT02055",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.